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suln., SAN JOAQUIN COUNTY <br />EN% )NMENTAL HEALTH DEPARTIV T <br />1868 East Hazelton Avenue, Stockton, CA 95200-0232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3877 Web: www.sigov.org/ehd <br />SWIMMING POOL OFFICIAL INSPECTION REPORT <br />le4}' <br />tot 4 - b3g-j <br />Name of Facility: <br />S '�_ <br />M <br />Date: <br />Address: \9011, <br />city: <br />Zip Code: Q <br />Owner/Operator: <br />\ <br />f <br />Telephone: <br />Program Element: 3i0I I Program Record: <br />Inspection Type: <br />Flow Rate (gpm): pH: <br />-4 <br />Chlorine (ppm): <br />C -C �.e <br />C C O � <br />Cyanuric Acid (ppm): <br />G�o fV� <br />Temp: <br />Reinspection on or after: <br />— <br />Other: <br />RECIRCULATION EQUIPMENT <br />The marked violations represent Health & Safety <br />Code Violations and must be corrected as indicated: <br />❑ Filters <br />[I Pumps <br />,' \ �l <br />t �n <br />-V <br />❑ Chlorinator <br />❑ Flowmeter <br />❑ Gauges <br />1' - <br />❑ Skimmer & Gutters <br />❑ Back Flow Prevention <br />❑ Main Drain Cover <br />❑ Equalizer Line Cover <br />CONSTRUCTION <br />❑ Pool Shell <br />❑ Fencing/Gates <br />❑ Decking & Coping <br />❑ Wade Pool —2 Main Drains <br />-:: SAFETY EQUIPMENT <br />❑ Rescue Pole <br />❑ Life Ring <br />❑ Safety Signs <br />❑ Lifeguard <br />❑ Pool/Deck Lighting OV, <br />❑ Ladders/Hand Rails <br />❑ Depth Markers/files <br />❑ First Aid Kits <br />❑ Emergency Shut-off Switch <br />RESTROOMS <br />❑ Showers <br />❑ Toilet & Dressing <br />❑ ventilation <br />WATER QUALITY <br />❑ Chlorine <br />❑ pH <br />❑ Cyanuric Acid <br />❑ Clarity <br />Test Kits <br />MISCELLANEOUS <br />❑ Supervision & Control <br />❑ General Sanitation <br />❑ Algae <br />Influent: 2© <br />Effluent: 1 ko <br />Time In: O Re elved By: <br />�, 'S fj <br />Time Out: -2 1 I <br />Inspected by: <br />EHD 36-01 5-8-12 SWIMMING POOL OR , Page I of <br />